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Mississippi rates for HCPCS L5699

All Lower Extremity Prostheses Shoulder Harness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.07 / $159.07 / $248.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.39 / $182.36 / $248.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.95 / $219.95 / $219.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.95 / $219.95 / $219.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.96 / $169.96 / $169.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.07 / $124.07 / $222.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.43 / $141.61 / $192.98